Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Alycia Johnson

Individual provider Pediatric Nurse Practitioner · NPI 1144276973

Mary Alycia Johnson is a Pediatric Nurse Practitioner in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

6401 France Ave S
Edina, MN 55435-2104
Phone: (952) 924-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R1447772 (MN)

Record details

NPI number1144276973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESMay 16, 2008

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